Active NPI
Susan Sparks, MD
- Clinical Genetics (M.D.) Physician
- Richmond, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Genetics (M.D.) Physician
- License
- 0101238604
- Practice address
- 1000 E Broad St
Richmond, VA 23219-1930 - Phone
- (804) 828-2467
- Fax
- (804) 828-7094
- NPI assigned
- Sep 12, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Biochemical Genetics | 207SG0207X | 0101238604 | VA | |
| Pediatrics Physician | 208000000X | D0065089 | MD | |
| Pediatrics Physician | 208000000X | 0101238604 | VA | |
| Clinical Genetics (M.D.) Physician | 207SG0201X | 2009-00112 | NC | |
| Pediatrics Physician | 208000000X | 2009-00112 | NC | |
| Clinical Genetics (M.D.) Physician | 207SG0201X | 0101238604 | VA | Primary |
| Pediatrics Physician | 208000000X | MD035678 | DC |
Addresses
Primary practice location
1000 E Broad St
Richmond, VA 23219-1930
Mailing address
PO Box 780125
Philadelphia, PA 19178-0125
Phone (804) 922-4844
Other practice location 1
1001 E Leigh St
Richmond, VA 23298-5004
Phone (804) 828-2467
Other practice location 2
1250 E Marshall St
Richmond, VA 23298-5023
Phone (804) 828-2467
Other practice location 3
1000 Blythe Blvd
Charlotte, NC 28203-5812
Phone (704) 381-6810
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 010241294 | Medicaid | VA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pediatric Medicine
- Education
- Chicago College of Medicine and Surgery, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1000 E Broad St
Richmond, VA 23219-1930
Phone (804) 828-2467
Hospital & facility affiliations
- Medical College of Virginia Hospitals
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101238604 | VA | MD | Medical license number |
| D0065089 | MD | MD | Pediatrics Physician |
| 2009-00112 | NC | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MCV Associated Physicians | Pediatrics | Current | Accepting new patients |
Locations
401 N 11th St
Richmond, VA 23219
Phone (804) 828-4409
1000 E Broad St
Richmond, VA 23219
1001 E Leigh St
Richmond, VA 23298
Phone (804) 628-7497
1250 E Marshall St
Richmond, VA 23298
Phone (804) 628-6990
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Richmond, VA
- NPI 1013091727
-
- General Acute Care Hospital
- Richmond, VA
- NPI 1437175734
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158019200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1767744000000",
"number": "1881798445",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 780125",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191780125",
"telephone_number": "804-922-4844"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 E BROAD ST",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232191930",
"telephone_number": "804-828-2467",
"fax_number": "804-828-7094"
}
],
"practiceLocations": [
{
"address_1": "1001 E Leigh St",
"address_purpose": "LOCATION",
"city": "Richmond",
"state": "VA",
"postal_code": "232985004",
"country_code": "US",
"telephone_number": "804-828-2467",
"fax_number": "804-828-7094",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1250 E Marshall St",
"address_purpose": "LOCATION",
"city": "Richmond",
"state": "VA",
"postal_code": "232985023",
"country_code": "US",
"telephone_number": "804-828-2467",
"fax_number": "804-828-7094",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1000 Blythe Blvd",
"address_purpose": "LOCATION",
"city": "Charlotte",
"state": "NC",
"postal_code": "282035812",
"country_code": "US",
"telephone_number": "704-381-6810",
"fax_number": "704-381-6811",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SPARKS",
"first_name": "SUSAN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-12",
"last_updated": "2026-01-07",
"certification_date": "2026-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "207SG0207X",
"taxonomy_group": "",
"desc": "Medical Genetics, Medical Biochemical Genetics",
"state": "VA",
"license": "0101238604",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MD",
"license": "D0065089",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "VA",
"license": "0101238604",
"primary": false
},
{
"code": "207SG0201X",
"taxonomy_group": "",
"desc": "Medical Genetics, Clinical Genetics (M.D.)",
"state": "NC",
"license": "2009-00112",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NC",
"license": "2009-00112",
"primary": false
},
{
"code": "207SG0201X",
"taxonomy_group": "",
"desc": "Medical Genetics, Clinical Genetics (M.D.)",
"state": "VA",
"license": "0101238604",
"primary": true
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "DC",
"license": "MD035678",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "010241294",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Richmond, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.